Organization Active NPI

Alain a. Fedida, MD

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1871862938
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
172083 Issued in NY
Legal business name
ALAIN A. FEDIDA, MD
Practice address
240 E 68TH St
New York, NY 10065-6001
Phone
(212) 737-5599
Fax
(212) 737-3624
NPI assigned
Dec 19, 2011
Last updated
Dec 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Alain A Fedida, M.D.NPI 1336163070
Title
Owner / Cfo
Phone
(877) 895-0876

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 172083 NY Primary
Nuclear Cardiology Physician 207UN0901X 172083 NY

Addresses

Primary practice location

240 E 68TH St
New York, NY 10065-6001

Mailing address

229 E 79TH St # 2a
New York, NY 10075-0866
Phone (877) 895-0876

Other identifiers 2

IdentifierTypeStateIssuer
93H793OtherNYMEDICARE ID-TYPE UNSPECIFIED
01129006MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1871862938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 E 79TH ST # 2A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750866",
            "telephone_number": "877-895-0876",
            "fax_number": "631-206-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E 68TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656001",
            "telephone_number": "212-737-5599",
            "fax_number": "212-737-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAIN A. FEDIDA, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "FEDIDA",
        "authorized_official_first_name": "ALAIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER / CFO",
        "authorized_official_telephone_number": "877-895-0876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "172083",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NY",
            "license": "172083",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "93H793",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01129006",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.